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before the operation revealed bacilli, while only
twice in thirty examinations subsequent to interven-
tion were scattered bacilli encountered. The opera-
tion was cholecystostomy followed by irrigations of
the gallbladder. In a Gottingen case of cholecys-
tectomy bacilli persisted in the stools for fifteen
days; then they disappeared and their absence was
noted for a period of three years. In three subse-
quent cases reported by Fromme intervention was
undertaken on account of biliary symptoms. One
of them terminated fatally as a consequence of
heart trouble. In the others the bacilli gradually
disappeared from the stools. The demonstration is
not absolute, the writer remarks, and he agrees with
Fromme that further experience is much to be de-
sired.
SCIENCE AND POLITICS.
The resignation of Dr. Theodore C. Janeway
from the post of visiting physician to the City Hos-
pital of New York has brought to light the exist-
ence of most regrettable friction in the Department
of Charities. The Sage Institute of Pathology has
the income from $300,000 given by Mrs. Russell
Sage. Under an agreement with the city the insti-
tute was given quarters hidden riches slot machine near the City Hospital on
Blackwell's Island and supplies to the value of five
or six thousand dollars yearly. Dr. Janeway has
intimated that since the present Commissioner of
Charities took office he has manifested his antag-
onism to the institute in various ways and has
shown a disposition to introduce political methods
into the matter of appointments made by the Med-
ical Board of the hospital and in the hidden riches slot game online administration
of the affairs of the institute. Dr. Janeway's resig-
nation constitutes his formal protest against this
attitude on the part hidden riches slot game of the commissioner.
The commissioner retorts that the institute occu-
pies a city building rent free and receives between
five and six thousand dollars annually from the city,
which is spent without any adequate supervision by
city officials. This sum, however, is said to repre-
sent the value of supplies furnished by the city and
not cash expended by the authorities of the insti-
tute for the account of the city.
The medical profession will, of course, sympa-
thize with Dr. Janeway in his protest against the
EDITORIAL ARTICLES.
31
introduction of political methods into the adminis-
tration of a scientific establishment. It is true that
the commissioner denies the charge that such meth-
ods are being introduced, but without any investi-
gation into the matter it is readily apparent that the
difference in methods pursued by Commissioner
Drummond and by his predecessor, Commissioner
Hebberd, must be accountable for the development
of friction where none has heretofore existed. The
services rendered without compensation by the dis-
tinguished physicians who constitute the Board of
Directors of the institute and the Medical Board of
the hospital certainly give these gentlemen some
claim to have their wishes regarding the policies hidden riches slot
and appointments carried out without the intro-
duction of political bias, so long as the results are
distinctly to the advantage of the institutions and
the community.
It is intimated that this friction may result in the
withdrawal of municipal support from the Sage In-
?titnte. This would be a great loss both to the city
and to the cause of medical science. The work of
the institute can be carried on advantageously only
in connection with a large hospital. Should the city
decline further cooperation with the institute, some
other hospital will undoubtedly give the institute
every possible facility for the prosecution of its
important work, so that there seems little proba-
bility of the work being entirely stopped, no matter
what action the city may take. But any such
change would curtail somewhat the activities of the
institute, for it is not probable that any private
hospital could furnish quite the facilities or the
material afforded by the City Hospital.
If the more intelligent and influential citizens
will insist that there shall be a complete exclusion
of politics and political methods from the adminis-
tration of the city hospitals and allied institutions, hidden riches slots free
the threatened separation need not take place. It
is the legitimate province of the medical profession
to help educate public opinion on this head, and
point out the dangers to the health and welfare of
the community which are involved in subordinating
scientific work to political ends. Every physician
can do something toward the creation of a proper
sentiment on this head among the laity, and it is
distinctly the duty of all to cooperate in creating
such a sentiment.
POLIOMYELITIS.
Infantile paralysis may be said to be in fashion.
It is not at all to be regretted that our profession is
prone to concentrate its interest on a few topics at
a time, for this method is excellent as applied to
any study, and it cannot be denied that the disease
has been more or less epidemic in certain parts of
the country during the last year or two. It is said
that at least 20,000 cases occurred in the United
States last summer. Aggregate statistics are al-
ways impressive, but it is well to reduce them to
ratios. The 20,000 cases represent a gross inci-
dence of about one to 5,000 of the entire population
or of about one to 500 of the population under ten
years of age, among which class the great majority
of cases of acute anterior poliomyelitis occur. We
are rather skeptical as to the present or, rather, re-
cent frequency of this disease. Cases in adults have
been mentioned by many, whereas the ordinary view
has been that it is exceedingly rare in adults and
that most such reported cases have been examples
of multiple neuritis or some other nervous lesion.
Again, the attention of the profession being once
directed to a certain disease, the natural tendency
is to exaggerate its apparent prevalence, not only
by false positive diagnoses, but by suggesting the
true diagnosis in cases that would otherwise be
wrongly interpreted and by emphasizing the impor-
tance of reports that might otherwise be neglected.
That gross exaggeration of the prevalence of dis-
eases at a certain period does occur is illustrated by
the following incident: A local committee study-
ing this subject was informed by a phvsician that
he had had a dozen or twenty cases ; on following
the matter up, it finally succeeded in getting the
definite designation of two patients.
We are inclined to doubt that there has been a
greater excess of incidence of poliomyelitis within
the last year or two than is characteristic of infec-
tious processes generally. The fluctuations of
measles, scarlet fever, etc., are well known and oc-
casion no excitement. However, we are contending,
not for a diminution of the effort to explain, cure,
and prevent poliomyelitis, but simply for the con-
tinuance of interest in this disease and a realization
of the equal or greater aggregate importance of the
commoner children's diseases so called.
Flexner, after passing infected spinal cords
through a Berkefeld filter, found that the filtrate,
though apparently free from bacteria, was infec-
tious for monkeys. This is a familiar story and we
confess to an exceedingly skeptical attitude toward
"ultramicroscopic" germs. Porcelain filters have
often been proved to be leaky for ordinary bacteria,